Please display my name on the participant's public donor wall as:
Please do not display my name on the donor wall.
Participant Information
Event NameWoman of Impact Northern New Jersey Spring 2024
Event ID10734
Participant ID10734
Participant Name
Team Name
Team ID
Mailing Information
Please send this completed form with checks to:American Heart Association | Attn: Northern New Jersey WOI | 4217 Park Place Court | Glen Allen, VA 23060